After consulting an attorney who reviewed my entire library of case documents, he declined to represent my case against Aetna, saying that since my case concluded with an external review that significantly lowers the chances of prevailing, and since his office takes the case on contingency he didn't want to take the risk.
I could pay up front for his services, and may or may not win. I don't want to take the risk either.
So after almost a year of fighting with Aetna, I will be joining the "pay out of pocket" club.
Surgery is scheduled for January 7, 2015 in Puyallup, WA with Dr. Richard Wohns for a two level cervical with the Mobi-C. And I am so ready to get on with this!
I submitted a request for Aetna to cover 1 level (and I would pay for the other) which of course was denied. Just for fun, I am going to appeal. Kind of like flinging my last arrow into the air and hoping it hits something, haha. Either way, surgery is on my horizon!!!!
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2004 MRI -cervical bone spur causing pain
2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks.
2014 MRI -progressive compression C5-7.
MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable
8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR
2 level ADR w/ mobi-c C5-7 Jan 7, 2015